Individual provider Active NPI

Christopher Consolino, PA-C

  • Medical Physician Assistant
  • Chandler, AZ
National Provider Identifier
1972976371
Registry record updated Apr 29, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Physician AssistantTaxonomy code 363AM0700X
License
6147 Issued in AZ
Practice address
2201 W Fairview St Ste 1
Chandler, AZ 85224-4712
Phone
(480) 800-4890
Fax
(480) 427-4766
NPI assigned
Nov 6, 2015
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 29, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Physician Assistant 363AM0700X 6147 AZ Primary

Addresses

Primary practice location

2201 W Fairview St Ste 1
Chandler, AZ 85224-4712

Mailing address

2201 W Fairview St Ste 1
Chandler, AZ 85224-4712
Phone (480) 800-4890

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20151221001245 AZ Practitioner - Physician Assistant 2264733039 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
At Still University, Arizona School of Dentistry & Oral HLTH, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Neurology Associates of the East Valley PLCGroup PAC ID 1850607151, 12 clinicians

Practice addresses (Care Compare)

2201 W Fairview St
Suite 1
Chandler, AZ 85224-4712
Phone (480) 800-4890

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
6147AZMDMedical Physician Assistant

Interoperability endpoints

  • Direct secure messaging: christopher.consolino.1@30730.direct.athenahealth.com

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1446768000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1745884800000",
    "number": "1972976371",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2201 W FAIRVIEW ST STE 1",
            "city": "CHANDLER",
            "state": "AZ",
            "postal_code": "852244712",
            "telephone_number": "480-800-4890",
            "fax_number": "480-427-4766"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2201 W FAIRVIEW ST STE 1",
            "city": "CHANDLER",
            "state": "AZ",
            "postal_code": "852244712",
            "telephone_number": "480-800-4890",
            "fax_number": "480-427-4766"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CONSOLINO",
        "first_name": "CHRISTOPHER",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2015-11-06",
        "last_updated": "2025-04-29",
        "certification_date": "2025-04-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "AZ",
            "license": "6147",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chandler, AZ

Sources for this page

Verify at the official NPI Registry.